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why did the ACL and the meniscus tear together so often these two problems share the same root muscle imbalance when the quad muscles on the front of the thigh are too dominant and too strong they compress the bones on each other and can develop a meniscus tear and thereamp;#39;s also a tendency for the needy cave inwards when this muscle is too strong which is what tensions that ACL in there the ACL and meniscus can take bad forces for a while but they become weak over time with this compression and tension if you have a bad enough injury like a car accident or a sports accident it could be enough to tear the tissues and cause a severe injury but thereamp;#39;s good news you can heal your meniscus and ACL naturally if you fix that muscle imbalance subscribe for more knee advice